Nichols, Brooke
Nichols, Brooke is an sole proprietor health care provider with primary practice located at 10336 Rosehill Rd , Overland Park KS 66215-2290. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Nichols, Brooke can be contacted via phone (913) 593-8989.Contact Information
Primary practice address
10336 Rosehill Rd
Overland Park KS 66215-2290
Phone: (913) 593-8989
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 341 | Kansas |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 2006000743 | Missouri |
Profile Details
| NPI number | 1487868477 |
|---|---|
| LBN Legal business name | Nichols, Brooke |
| Credentials | LCPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 9th, 2007 |
| Last updated | Jul 17th, 2009 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487868477 | NPPES |
| Missouri | MEDICAID | 1487868477 |
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